Laserfiche WebLink
^ APPLICATION FOR RIGHT-OF-WAY USE PERMIT -7 '��� <br /> everetl, � ��� 1 <br /> . .i <br /> � I- ;,,� , _ �il.E <br /> CITY ENGINEERS � �/ O � PERMIT N0. �% ?-t <br /> EVERETT, WASHINGTON � .O • 0 � . <br /> The Undersigned r' ���`� ��� � � , �r �' <br /> Hereby applies for permission to � f '� <` ` ��� ''��^ ^ � � �� '� <br /> / <br /> At the following location � i � / �1 E' " F ��.�.e r' � - <br /> SKETCH <br /> (Work to be done) <br /> DRNEWAY SECTION The undersigned owner hereby agrees to hold and <br /> NO SCALE save harmless the City of Everett from any and ail <br /> L-- -� 7' --—� claims for damages that may arise because of installa- <br /> I <br /> I'� LIP tion and maintenance of the improvement hereto <br /> app�ied for and further agrees to remove same upon <br /> 30 � notice from the Ciry and to r.place public property <br /> I--=�+--- ----I-3O"-� <br /> damaged thereby. <br /> '' � ..� -i� ��l.�. <br /> Signatu`f�of Applicant�� ✓ <br /> . -7i�r i . . 'C- /� ^ <br /> COPY OF THIS APPLICATION TO Address � e'/ � ��cx-, <br /> irF•nN, <br /> /'s_J._r <br /> BE POSTED OW JOBSITE. � �' � M � <br /> Telephone Number <br /> CALL ENGINEERING DEPT. 259-8617 <br /> 24 HOURS BEFORE CONSTRUCTION Date <br /> � CHECK UST Fee <br /> Wacer vaive Dept. Approvals <br /> Drainage l � - � ( ; <br /> Curb&Gutter Engineers � �� � � � '�� -� <br /> Sidewalk Wa[er <br /> ��, , Street ' <br /> \� Communication <br /> �r� <br /> `�pector's Signature Traffic <br /> Planning <br /> � - z3 - � �-_ <br /> —bate <br /> Remarks <br /> 11107 �-. <br /> Approved by '' . , . <br /> �'` � <br /> ' N� ,i �� � �rii /: <br /> Date Approved � � � � � <br /> INSPECTOR'S COPY � - � ��> <br />